“运目操”对老视干预作用的临床观察  

Clinical Observation of the Intervention Effect of"Eye Moving Exercise"on Presby⁃opia

作　　者：左倩倩 许凯[1] 李亚敏 黄子杨 李晓宇 周维 梁丽娜[1] ZUO Qianqian;XU Kai;HUANG Ziyang;LI Yamin;LI Xiaoyu;ZHOU Wei;LIANG Lina(Eye Hospital,China Academy of Chinese Medical Sciences,Beijing 100040,China)

机构地区：[1]中国中医科学院眼科医院,北京100040

出　　处：《中国中医眼科杂志》2024年第3期236-241,共6页China Journal of Chinese Ophthalmology

基　　金：国家自然科学基金项目(82274589、81973912);中国中医科学院科技创新工程(CI2021A02602);中国中医药循证医学中心“业务研究室主任专项”(2020YJSZX-2)。

摘　　要：目的观察“运目操”对老视的干预作用。方法纳入2021年3月—2021年10月于中国中医科学院眼科医院就诊的老视患者61例(61只眼),随机分为治疗组30例(30只眼)和对照组31例(31只眼)。分别予“运目操”疗法和健康宣教。2组均观察8周。分别于治疗前、后测量患者的视近屈光度、调节近点、阅读速度和阅读视力、调制传递函数(modulation transfer function,MTF)截止频率和平均散射指数(mean object scatter index,Mean OSI)、主观症状评分。结果2组治疗前视近屈光度、调节近点、阅读视力、阅读速度、MTF截止频率、Mean OSI及主观症状评分比较,差异均无统计学意义(P>0.05)。(1)视近屈光度:2组治疗后视近屈光度较治疗前比较,及治疗后2组间比较,差异均无统计学意义(P>0.05)。(2)调节近点:治疗组治疗后调节近点较治疗前减小,差异有统计学意义(t=7.581,P=0.000);对照组调节近点较治疗前比较,及治疗后2组间比较,差异均无统计学意义(P>0.05)。(3)阅读速度和阅读视力:治疗后治疗组阅读速度提高比较,差异统计学意义(t=-2.273,P=0.031);对照组阅读速度较治疗前比较,及治疗后2组间比较,差异均无统计学意义(P>0.05)。治疗组治疗后阅读视力较治疗前提高,差异有统计学意义(Z=-3.669,P=0.000);对照组阅读视力较治疗前比较,差异无统计学意义(P>0.05)。治疗后2组间比较,治疗组优于对照组,差异有统计学意义(Z=-1.894,P=0.047)。(4)Mean OSI和MTF截止频率:对照组治疗后Mean OSI值较治疗前增大,差异有统计学意义(Z=-2.884,P=0.004),而治疗组Mean OSI值较治疗前,差异无统计学意义(P>0.05);治疗后2组间比较,治疗组优于对照组,差异有统计学意义(Z=-2.835,P=0.005)。对照组治疗后MTF截止频率较治疗前减小,差异有统计学差异(t=4.439,P=0.000),而治疗组MTF截止频率较治疗前,差异无统计学意义(P>0.05);治疗后2组间比较,治疗组高于对照组,差异有�OBJECTIVE To observe the intervention effect of"eye moving exercise"on presbyopia.METHODS A total of 61 presbyopic patients(61 eyes)treated at the Eye Hospital,China Academy of Chinese Medical Sciences from March 2021 to October 2021 were randomly divided into a treatment group of 30 cases(30 eyes)and a control group of 31 cases(31 eyes).The"eye moving exercise"therapy and health education were respectively given to the two groups,and both were observed for eught weeks.The visual nearsightedness,near point adjustment,reading vision and speed,modulation transfer function(MTF)cutoff frequency,mean object scatter index(Mean OSI),and subjective symptom scores of the patients were measured before and after treatment.RESULTS There were no statistically significant differences in visual nearsightedness,near point adjustment,reading vision,reading speed,MTF cutoff frequency,Mean OSI,and subjective symptom scores between the two groups before treatment(P>0.05).(1)Nearsight diopter:After treatment,there were no statistically significant differences in nearsight diopter between the two groups and within each group(P>0.05).(2)Near point adjustment:After treatment,the treatment group showed a significant decrease in near point adjustment compared to before treatment(t=7.581,P=0.000),the control group showed no statistically significant difference compared to before treatment,as well as when comparing with the treatment group after treatment(P>0.05).(3)Reading speed and reading vision:After treatment,the treatment group exhibited an increase in reading speed,which was statistically significant(t=-2.273,P=0.031).However,the control group showed no statistically significant difference compared to before treatment,as well as when comparing with the treatment group after treatment(P>0.05).Reading vision in the treatment group significantly improved after treatment(Z=-3.669,P=0.000),whereas the control group showed no statistically significant difference compared to before treatment(P>0.05).When comparing the two groups after treat

关 键 词：老视 视功能 症状 运目操 

分 类 号：R276.7[医药卫生—中医五官科学]